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[播散性放线菌病累及中枢神经系统]

[Disseminated actinomycosis with central nervous system involvement].

作者信息

Vásquez Juan, Gómez Carlos, Chiquillo Angela, Pescador Luz

机构信息

Hospital Militar Central Bogotá, Colombia.

出版信息

Rev Chilena Infectol. 2017 Dec;34(6):598-602. doi: 10.4067/S0716-10182017000600598.

Abstract

Actinomycosis is very rare, as well as the central nervous system (CNS) condition associated with it, presenting a mortality up to 28%. Its manifestations could be similar to infectious conditions from other etiologies, thus, having a better understanding of the entity increases clinical suspicion and also it can provide a timely treatment. The clinical case of an adult with edema in an upper extremity is presented as a manifestation of thrombophlebitis and an abscessed axillary lesion, in which actinomycetes infection was confirmed. He presented a haematogenous spread with CNS involvement, with fatal ending.

摘要

放线菌病非常罕见,与之相关的中枢神经系统(CNS)疾病也很罕见,死亡率高达28%。其表现可能与其他病因引起的感染性疾病相似,因此,对该疾病有更好的了解可提高临床怀疑度,还能提供及时的治疗。本文介绍了一例成年患者,其上肢水肿表现为血栓性静脉炎和腋窝脓肿性病变,确诊为放线菌感染。该患者出现血行播散并累及中枢神经系统,最终死亡。

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